Individual provider Active NPI

Alejandro Antonio Bochm-Cabanas, DC

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1487986931
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1544 Issued in LA
Practice address
1304 Bertrand Dr
Suite B3
Lafayette, LA 70506-9107
Phone
(337) 706-7878
Fax
(337) 706-7898
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1544 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr
Suite B3
Lafayette, LA 70506-9107

Mailing address

1304 Bertrand Dr
Ste B3
Lafayette, LA 70506-9102
Phone (337) 984-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1544LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leon C. Winters LCSW, LLC CurrentSince Sep 1, 2020 Accepting new patients
Richardson Chiropractic Group Chiropractor CurrentSince Aug 1, 2020 Accepting new patients
Michael R. Cavanaugh, D.C. a Professional Corporation Chiropractor PastSince Aug 30, 2010 Accepting new patients

Locations

1304 Bertrand Dr
Ste B3
Lafayette, LA 70506
Phone (337) 962-1987

1304 Bertrand Dr
Ste D4
Lafayette, LA 70506
Phone (337) 234-4987

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1487986931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "STE B3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069102",
            "telephone_number": "337-984-5852",
            "fax_number": "337-984-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "SUITE B3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069107",
            "telephone_number": "337-706-7878",
            "fax_number": "337-706-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHM-CABANAS",
        "first_name": "ALEJANDRO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.